Active NPI
Judi De'Landa Brown-Brown, NP
- Family Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R168850
- Practice address
- 1501 Division St
Baltimore, MD 21217-3121 - Phone
- (410) 383-8300
- Fax
- (410) 383-3160
- NPI assigned
- May 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health & General Preventive Medicine Physician
- Baltimore, MD
- NPI 1720710171
MD
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1801880315
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, MD
- NPI 1225857378
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1013902485
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1588964399
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1801881271
-
- Federally Qualified Health Center (FQHC)
- Odenton, MD
- NPI 1881439958
-
- Community/Retail Pharmacy
- Baltimore, MD
- NPI 1932333226
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1992889943
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Total Health Care Inc
Practice addresses (Care Compare)
1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300
4709 Harford Rd
Baltimore, MD 21214-3205
Phone (443) 735-5702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210323000029 | MD | Practitioner - Nurse Practitioner | 4587071352 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R168850 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SBB Fit 4 Life LLC | Current | Accepting new patients | |
| Total Health Care Inc | Current | Accepting new patients | |
| Total Health Care Inc | Current | Accepting new patients | |
| Total Health Care Inc. | Current | Accepting new patients | |
| Total Health Care Inc | Past | Accepting new patients |
Locations
1501 W Saratoga St
Baltimore, MD 21223
Phone (410) 383-7197
1111 Washington Blvd
Baltimore, MD 21230
Phone (410) 783-1859
2400 Kirk Ave
Baltimore, MD 21218
Phone (410) 243-1800
4709 Harford Rd
Baltimore, MD 21214
Phone (443) 735-5702
1501 Division St
Baltimore, MD 21217
Phone (410) 735-5390
2288 Blue Water Blvd
Ste 440
Odenton, MD 21113
Phone (410) 674-7403
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GJFJBD
- judi.brown-brown@898218937614340.direct.elationemr.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R168850 | MD | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1501 Division St
Baltimore, MD 21217-3121
Mailing address
1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 10, 2021.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1386265015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 DIVISION ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212173121",
"telephone_number": "410-383-8300",
"fax_number": "410-383-3160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 DIVISION ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212173121",
"telephone_number": "410-383-8300",
"fax_number": "410-383-3160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN-BROWN",
"first_name": "JUDI",
"middle_name": "DE'LANDA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-05",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R168850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.